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WGU D116 ADVANCED PHARMACOLOGY OA AND PRE
ASSESSMENT EXAM ACTUAL EXAM COMPLETE 500
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALES (100% CORRECT ANSWERS) /ALEREADY GRADED
A+||JUST OUT!!!
A 68-year-old patient will be transitioning from the hospital to a
nursing home with a separate Medicare rehabilitation unit for
two weeks of intense rehabilitation therapy and then returning
home. The discharge paperwork has been completed, and the
advanced practice registered nurse (APRN) is reviewing the
discharge plan and medication list with the patient. The next
step is to contact the nursing home to review the discharge
orders.
Which professional in the nursing home should the APRN
contact to help with this plan? - ANSWER-NO The nurse who
serves as the house supervisor
The nurse who works on the long-term care unit
YES The nurse who works on the medicaid
Correct! The nurse to nurse report to the correct unit will
ensure the patient has the best possible outcome. This
prevents wrong information from being passed on if calling the
wrong unit.
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An advanced practice registered nurse (APRN) is preparing to
discharge a 76-year-old male patient from a hospital to his
home. The APRN is concerned that the patient's hospitalization
was due to medication nonadherence.
The APRN discusses these findings with an interdisciplinary
team and then sets up a meeting with the patient and unit
educator to provide education verbally and in writing regarding
the medication nonadherence.
Which topic should the APRN include in the discharge
education? - ANSWER-YES Missing a dose and forgetting to take
the medication
Correct! This is the key topic due to the reason for
hospitalization and should be the main focus.
An 18-year-old patient who is newly diagnosed with diabetes
comes to a primary clinic for a follow-up transitional care visit
and expresses concern about the ability to comply with taking
multiple doses of medications each day. An interprofessional
team determines that the patient is at risk for noncompliance.
Which action should be taken to overcome this issue? -
ANSWER-YES Simplify the regimen so that the number of drugs
and doses per day are as small as possible
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Correct! The patient could benefit from a simplified and more
easily understood regimen.
A 94-year-old patient is admitted to a hospital through an
emergency department from a nursing home one week after
being discharged to the nursing home due to documented
altered mental status. Medications ordered at the time of
discharge included warfarin, potassium, a multivitamin,
hydrochlorothiazide, and PRN pain medication. The current
medication list differs from the list documented one week ago.
Which member of the interprofessional care team should be
consulted to obtain accurate medication information? -
ANSWER-YES Nursing home discharge planner
Correct! The nursing home discharge planner would have the
most up-to-date medication list from the nursing home as this
activity is within the function of this role.
Which vitamin B deficiency is associated with cheilosis, glossitis,
vascularization of the cornea, and itchy dermatitis of the
scrotum and vulva? - ANSWER-YES Riboflavin (b2
Correct! Riboflavin deficiency produces the symptoms
described and can be treated with riboflavin supplements. The
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signs listed do not indicate deficiencies of niacin, pyridoxine, or
thiamine.
A patient who is known to be a heavy drinker is brought to the
emergency department with ataxia and confusion. The patient
cannot remember the events of the previous day. The
examination reveals nystagmus, and the patient reports having
double vision.
Which vitamin should the provider order for this patient? -
ANSWER-YES Intravenous thiamine (vitamin Correct! Alcoholics
who are malnourished have a form of thiamine deficiency
called Wernicke-Korsakoff syndrome, which is characterized by
nystagmus, diplopia, ataxia, confusion, and short-term memory
loss. Parenteral thiamine is indicated for treatment. Ascorbic
acid is given to treat a vitamin C deficiency, which leads to
scurvy. Pyridoxine is given for vitamin B6deficiency, also
common in alcoholics, but this patient does not have the
symptoms of seborrheic dermatitis and peripheral neuropathy.
Nicotinic acid is used for niacin deficiency, which is
characterized by severe dry, rough skin.
A patient appears malnourished. The patient's folic acid levels
are low, and vitamin B12 levels are normal.
WGU D116 ADVANCED PHARMACOLOGY OA AND PRE
ASSESSMENT EXAM ACTUAL EXAM COMPLETE 500
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALES (100% CORRECT ANSWERS) /ALEREADY GRADED
A+||JUST OUT!!!
A 68-year-old patient will be transitioning from the hospital to a
nursing home with a separate Medicare rehabilitation unit for
two weeks of intense rehabilitation therapy and then returning
home. The discharge paperwork has been completed, and the
advanced practice registered nurse (APRN) is reviewing the
discharge plan and medication list with the patient. The next
step is to contact the nursing home to review the discharge
orders.
Which professional in the nursing home should the APRN
contact to help with this plan? - ANSWER-NO The nurse who
serves as the house supervisor
The nurse who works on the long-term care unit
YES The nurse who works on the medicaid
Correct! The nurse to nurse report to the correct unit will
ensure the patient has the best possible outcome. This
prevents wrong information from being passed on if calling the
wrong unit.
,2|Page
An advanced practice registered nurse (APRN) is preparing to
discharge a 76-year-old male patient from a hospital to his
home. The APRN is concerned that the patient's hospitalization
was due to medication nonadherence.
The APRN discusses these findings with an interdisciplinary
team and then sets up a meeting with the patient and unit
educator to provide education verbally and in writing regarding
the medication nonadherence.
Which topic should the APRN include in the discharge
education? - ANSWER-YES Missing a dose and forgetting to take
the medication
Correct! This is the key topic due to the reason for
hospitalization and should be the main focus.
An 18-year-old patient who is newly diagnosed with diabetes
comes to a primary clinic for a follow-up transitional care visit
and expresses concern about the ability to comply with taking
multiple doses of medications each day. An interprofessional
team determines that the patient is at risk for noncompliance.
Which action should be taken to overcome this issue? -
ANSWER-YES Simplify the regimen so that the number of drugs
and doses per day are as small as possible
,3|Page
Correct! The patient could benefit from a simplified and more
easily understood regimen.
A 94-year-old patient is admitted to a hospital through an
emergency department from a nursing home one week after
being discharged to the nursing home due to documented
altered mental status. Medications ordered at the time of
discharge included warfarin, potassium, a multivitamin,
hydrochlorothiazide, and PRN pain medication. The current
medication list differs from the list documented one week ago.
Which member of the interprofessional care team should be
consulted to obtain accurate medication information? -
ANSWER-YES Nursing home discharge planner
Correct! The nursing home discharge planner would have the
most up-to-date medication list from the nursing home as this
activity is within the function of this role.
Which vitamin B deficiency is associated with cheilosis, glossitis,
vascularization of the cornea, and itchy dermatitis of the
scrotum and vulva? - ANSWER-YES Riboflavin (b2
Correct! Riboflavin deficiency produces the symptoms
described and can be treated with riboflavin supplements. The
, 4|Page
signs listed do not indicate deficiencies of niacin, pyridoxine, or
thiamine.
A patient who is known to be a heavy drinker is brought to the
emergency department with ataxia and confusion. The patient
cannot remember the events of the previous day. The
examination reveals nystagmus, and the patient reports having
double vision.
Which vitamin should the provider order for this patient? -
ANSWER-YES Intravenous thiamine (vitamin Correct! Alcoholics
who are malnourished have a form of thiamine deficiency
called Wernicke-Korsakoff syndrome, which is characterized by
nystagmus, diplopia, ataxia, confusion, and short-term memory
loss. Parenteral thiamine is indicated for treatment. Ascorbic
acid is given to treat a vitamin C deficiency, which leads to
scurvy. Pyridoxine is given for vitamin B6deficiency, also
common in alcoholics, but this patient does not have the
symptoms of seborrheic dermatitis and peripheral neuropathy.
Nicotinic acid is used for niacin deficiency, which is
characterized by severe dry, rough skin.
A patient appears malnourished. The patient's folic acid levels
are low, and vitamin B12 levels are normal.
